MARK LEWIS ILLEMAN

SAN FRANCISCO, CA
NPI1548388861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  2005)
Enumeration Date2007-03-26
Last Update Date2015-06-19
Business Address
Mr. MARK LEWIS ILLEMAN FNP
2300 CALIFORNIA ST SUITE 306
SAN FRANCISCO, CA 94115-2753
Phone number: 415-202-1550
Mailing Address
Mr. MARK LEWIS ILLEMAN FNP
2300 CALIFORNIA ST SUITE 306
SAN FRANCISCO, CA 94115-2753
Phone number: 415-202-1550